Provider Demographics
NPI:1205438918
Name:BENSER, LAUREN ZIMMERMAN (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ZIMMERMAN
Last Name:BENSER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ANN
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:352 GREAT LAWN DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-8308
Mailing Address - Country:US
Mailing Address - Phone:803-517-1587
Mailing Address - Fax:
Practice Address - Street 1:352 GREAT LAWN DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-8308
Practice Address - Country:US
Practice Address - Phone:803-517-1587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1095864133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered